Clinical Competency Committee (CCC)

PURPOSE

In accordance with the ACGME regulations 2013, a Clinical Competency Committee (CCC) has been formed (ACGME 2013 Core Requirement). The CCC will serve as an early warning system if a fellow fails to progress as expected in the training program, and will assist in early identification and move toward improvement and remediation. To make consensus decisions on the progress of each fellow in the program.

POLICY STATEMENT

The members of a CCC have responsibility for:

Determining fellows' progression on the educational Milestones

Making recommendations on promotion and graduation decisions

Recommending remediation or disciplinary actions to the program director

The committee may make the following recommendations:

No further action necessary

Letter of concerns with specific terms and remediation recommendations

Probation with specific terms and remediation recommendations

May be with or without extension of time at level of training

Termination

Delay or denial of promotion or board recommendation

Roles:

The CCC Chair's role is to schedule meetings, run the CCC meeting and provide recommendations to the PD if the PD is not present at meeting

Prepare Milestone report for ACGME reporting requirement

Monitor fellow progression through the continuum of education in cardiovascular medicine

Provide objective assessments and feedback about fellows in the ACGME competency areas

Ensure that the assessment includes input reflecting representative group of faculty and evaluation of all educational components of the training program

MEMBERS

The following key clinical faculty members (defined by the ACGME as ABIM board certified physicians who spend at least 10 hours per week throughout the year) will serve as members of this committee.

Harry DeAntonio, DOClinical & Consultative Cardiology
Chair of CCC

Ashesh Buch, MDInterventional Cardiology/Research

Hassan Alhosaini, MDMedical Director, Heart Failure Program

Constantin Marcu, MDMultimodality Imaging

Rajasekhar Nekkanti, MDProgram Director

Sivakumar Ardhanari, MDCardiology/Cardiovascular Imaging

The above committee composition provides for adequate representation from all divisions, services, sites, including broad representation of junior through senior faculty.

PROCEDURE

Must meet semi-annually at a minimum

Must be actively involved in fellow education

Participate in committee deliberations regularly

Provide consistent, timely evaluations

Feedback must be constructive

The Program coordinator will keep detailed minutes of all meetings

COMMITTEE RESPONSIBILITIES

Evaluation and Reporting:

The CCC shall meet on a semi-annually basis in June and December of every academic year and:

Review all fellows' evaluations by all evaluators semi-annually at each PGY level

Preparing and assure the reporting of Milestones evaluations of each fellow semi-annually to ACGME

Making recommendations to the program director for -

promotion

remediation

dismissal

The PD will used the CCC recommendations as part of the fellows' semi-annual review.

Resources used to base ratings:

Monthly end of rotation evaluations from faculty

Fellows' self-evaluations

360° Evaluations including patients, clinic managers and nurses

Procedure logs

Outpatient evaluations from PM attending

Scholarly activity

In-Training exam results

Attendance records

Input from other colleagues and providers when available

...and whatever additional information is available

It is expected that the CCC members will spend about 1 hour per fellow at each meeting.

Upon concluding each semi-annual session, the meeting should provide the program director with:

Explicit expectations of the fellow

Identifies areas to work on

Earlier identification of under-performers

Provides aspirational goals for over-achievers

Administrative Responsibilities:

The CCC will meet on an ad hoc basis to:

Develop and manage systems for evaluation of fellows from multiple sources (e.g., faculty, peers, patients, self, other professional staff).

Manage a faculty advisor system to provide fellow mentorship and feedback about performance at least semi-annually.

These meetings should -

Guide curriculum development

Develop evaluation tools

Meetings: The CCC shall on a semi-annually basis in June and December of every academic year.